Optimizing informationized disease management system on venous thromboembolism based on action research method and its effect evaluation
10.3760/cma.j.issn.1674-2907.2019.28.014
- VernacularTitle:基于行动研究法优化静脉血栓栓塞症信息化疾病管理系统及其效果评价
- Author:
Haibo DENG
1
;
Yaping CHEN
;
Bingdu TONG
;
Yuan XU
;
Xiaojie WANG
;
Yufen MA
Author Information
1. 中国医学科学院 北京协和医院心外科
- Keywords:
Nursing management research;
Venous thromboembolism;
Informationization;
Disease management system;
Optimize;
Action research
- From:
Chinese Journal of Modern Nursing
2019;25(28):3627-3631
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the application of action research method in optimizing informationized disease management system on venous thromboembolism(VTE) and to improve the VTE disease management. Methods? By convenience sampling, 50 nurses and 235 patient profiles in Peking Union Medical College Hospital from January 2015 to March 2017. According to the framework of action research method, firstly, the problems of VTE disease management system were clarified, and the system improvement plan was designed and implemented by means of literature review and expert meeting, etc. Through the two cycle processes of plan-action-observation-reflection (the first round and the second round), the informationized VTE disease system was continuously improved. The observation indicators were the completeness rate of patient profiles content, the accuracy rate of Caprini risk assessment, the accuracy rate of arm/leg circumference measurement, the filling time of reporting part and the filling time of daily tracking part. The data collection time was before intervention, after the first and second rounds of intervention. Results? Through the first round of action research, we improved the VTE information disease management system, and raised the content integrity rate of the reporting system from 72.00% to 100.00%; the correct rate of risk assessment from 68.00% to 91.11%, and the correct rate of arm/leg circumference measurement from 62.00% to 97.04%, the differences were statistically significant (P＜0.05). Through the second round of action research, the intelligence of the system increased, the filling time of the reporting part shortened from (107.32±8.07) s to (80.50±7.25) s, and the filling time of the daily tracking part shortened from (53.38 ± 6.37)s to (29.08 ±4.65)s, with statistically significant differences (P＜0.05). Conclusions? Action research method is an effective way to solve practical and multi-disciplinary cooperation problems. Based on action research method, improving and optimizing VTE disease management system can be applied to clinical practice and improve the quality of disease management.
